Unknown Individual – Surgical Physician Assistant, NPI 1487892089

Unknown Individual is a healthcare provider. based in Hinsdale, Illinois. specializing in Surgical Physician Assistant. They hold a License No. 06-126 (IL). The NPI Number for Unknown Individual is 1487892089

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1487892089
Phone
(630) 325-5803
Address
140 N. COUNTY LN
Deactivation Date
8 February 2023
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 140, North County Line Road, Hinsdale, Lyons Township, DuPage County, Illinois, 60521, United States

    APT 123

    HINSDALE, IL 60521

    Phone: (630) 325-5803

    Fax: (630) 325-5801

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60521)

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Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1487892089 as the unique 10-digit identifier.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Hinsdale?
Public fields place Unknown Individual around Hinsdale, Illinois. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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